Patient Care Coordinator Home Health

UPMC•Williamsport, PA

5d•Onsite

About The Position

UPMC Home Health in Williamsport is hiring a Patient Care Coordinator Nurse to support their team. This is a Monday-Friday, 8:00AM-4:30PM shift with an on-call weekend rotation. The Patient Care Coordinator is an on-site clinical team member that assists in coordinating care for the assigned team. The Patient Care Coordinator provides care navigation through daily triage and follows up with referral sources, patients, clinicians, and clinical leaders through the management of incoming communication to the Clinical Manager.

Requirements

Current Registered Nurse license in Pennsylvania.
One-year recent home health experience preferred.
Must have the clinical knowledge and critical thinking ability to effectively plan and provide coordination of patient care consistent with standards and regulations; must have exceptional interpersonal and customer services skills; must be able to effectively solve unique problems as they arise or identify appropriate resource for hand off.
Must have requisite knowledge of current Home Health Medicare, Medicaid, State and Federal regulations and Joint Commission accreditation standards.
Must be able to demonstrate problem-solving abilities and have excellent telephone, interpersonal and written communication skills.
Strong commitment to teamwork and customer service, both internally and externally, is required.
Must have strong/proven data entry and general computer skills.
Provides own transportation and auto insurance and abides by all laws, rules, and recommendations for safe driving while on duty.
Maintains a valid driver's license.
Must be able to travel to assigned geographical locations as needed.
Demonstrates ability to work independently within a fast-paced environment.
Automotive Insurance
Basic Life Support (BLS) OR Cardiopulmonary Resuscitation (CPR)
Driver's License
Registered Nurse (RN)
Act 33
Act 34
OAPSA
Current licensure either in the state where the facility is located or, if the facility is in a state covered by the multistate Nursing Licensure Compact (NLC) agreement, a multistate license issued by a participating NLC state. Hires and current employees working on an out-of-state NLC license who later change their residency to the state where the facility is also located will have 60 days upon changing their residency to apply for licensure within that state.

Responsibilities

Participates in on-call coverage rotation for the agency.
Oversees the ordering and approval of medical supplies to ensure that all supplies are included on the physician orders and ordered in the appropriate quantity.
Monitors lab results, following up with physicians and team members.
Covers from other Patient Care Coordinators when needed.
Participate in interdisciplinary team conferences as needed.
Performs medication reconciliation on all therapy only cases as needed
Monitors admissions, discharges and re-hospitalizations and communicates with the appropriate clinical liaison(s) or facilities to facilitate continuity of care between settings.
Aids clinical staff in follow up communication with MD offices and referral sources as applicable.
Coordinates all incoming orders associated with census to ensure appropriateness and accuracy and timeliness of care, enters into Medical Record, and coordinates with scheduling as appropriate.
Assists in document control processes, including but not limited to, review of Face-to-Face documentation and physician orders for home health. Reports problems immediately to the Clinical Manager.
Triages and directors all incoming communications during workday hours for the current census assigned and follows up to facilitate appropriate service delivery.